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首页> 外文期刊>Health and Quality of Life Outcomes >Factorial validation of the patient assessment of chronic illness care (PACIC) and PACIC short version (PACIC-S) among cardiovascular disease patients in the Netherlands
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Factorial validation of the patient assessment of chronic illness care (PACIC) and PACIC short version (PACIC-S) among cardiovascular disease patients in the Netherlands

机译：在荷兰的心血管疾病患者中对慢性病护理（PACIC）和PACIC简写（PACIC-S）进行患者评估的因子验证

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Objective The Chronic Care Model (CCM) has achieved widespread acceptance and reflects the core elements of patient-centred care in chronic diseases such as cardiovascular diseases (CVD). In the Netherlands the extent to which CVD patients receive care congruent with the CCM is unknown. The main objectives of this study were to validate the 20-item Patient Assessment of Chronic Illness Care (PACIC) and the 11-item (PACIC-S) in the Netherlands among CVD patients and investigate the validity, reliability, and sensitivity to change of both instruments. Methods The Dutch version of the PACIC and PACIC-S were tested among 1484 CVD patients (out of 2760; response rate 54%) enrolled in Disease Management Programmes (DMPs) at T0 and 1167 respondents (out of 2545; response rate?=?46%) at T1. Five hundred-eighty-five CVD patients filled in the questionnaire at both T0 and T1. We tested the instrument by means of structural equation modeling, and examined its construct validity, reliability and sensitivity to change. Reliability of the instrument was assessed by determining the statistical coherence of the scaled items. Internal consistency of the subscales was assessed by calculating Cronbach’s alphas and correlations between the PACIC and PACIC-S. We investigated the sensitivity to change of the original PACIC and the PACIC-S with paired t-tests among CVD patients in DMPs who filled in the questionnaire at both T0 and T1 (N?=?585). Results The confirmatory factor analyses revealed good indices of fit with the PACIC and PACIC-S. Internal consistency as represented by Cronbach’s alphas were also good. Correlations between the PACIC and PACIC-S subscales were excellent: 0.98 at both T0 and T1. Paired t-tests results show that the PACIC and PACIC-S improved significantly over time ( p Conclusions The psychometric properties of the Dutch PACIC and PACIC-S were satisfactory and it is sensitive to change, rendering it a valid and reliable instrument for assessing chronic illness care among CVD patients.
机译：目的慢性护理模型（CCM）已得到广泛认可，并反映了以患者为中心的慢性疾病（如心血管疾病（CVD））护理的核心要素。在荷兰，CVD患者接受CCM护理的程度尚不清楚。这项研究的主要目的是验证CVD患者在荷兰的20个项目的慢性病护理评估（PACIC）和11个项目（PACIC-S）的有效性，并调查其对疾病变化的有效性，可靠性和敏感性。两种工具。方法在T0的1484名CVD患者（2760名，缓解率54％）和1167名应答者（2545名;缓解率？=？）中对荷兰语版本的PACIC和PACIC-S进行了测试。 46％）在T1。在T0和T1时，有585名CVD患者填写了问卷。我们通过结构方程建模对仪器进行了测试，并检查了其构造的有效性，可靠性和变化敏感性。通过确定比例项目的统计一致性来评估仪器的可靠性。通过计算Cronbach的Alpha值以及PACIC和PACIC-S之间的相关性，可以评估分量表的内部一致性。我们在T0和T1均填写了调查表的DMP中，以配对t检验调查了CVD患者对原始PACIC和PACIC-S变化的敏感性（N≥= 585）。结果验证性因素分析显示与PACIC和PACIC-S拟合良好。 Cronbach的alpha表示的内部一致性也很好。 PACIC和PACIC-S分量表之间的相关性极好：T0和T1均为0.98。配对t检验结果表明PACIC和PACIC-S随着时间的推移显着改善（p结论荷兰PACIC和PACIC-S的心理计量学特性令人满意且对变化敏感，使其成为评估慢性病的有效且可靠的工具CVD患者的疾病护理。

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